| Sigh up today for | |
YOUTH ENTREPRENEUR CAMP |
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| NAME_______________________________________ | |
| SCHOOL_________________________________________ | |
| AGE_________________________________ | GRADE____________________ |
| ADDRESS__________________________________________________________________ | |
| CITY________________________________ | STATE______ZIP________ |
| PHONE______________________________ | |
| Emergency Centact______________________________ | |
| How did you find out about Youth Entrepreneur Camp(Check all that apply) | |
| Friend_____________________________________ | Mailer or flyer |
| School | Radio, newspaper or TV |
| REDCO/Gaylene | Other__________________ |
| Read the Code of conduct and Waiver of Liability of the bottom of this print out: Your signatur signifies assent to both | |
| Signature________________________________________ | |
| parent or quardian signature | |
| (if under 18)______________________________________ | |
| Print and Turn in this application ASAP back to the REDCO office or Fax to 856-5105. I will be picking then up on the daily basis. | |
CODE OF CONDUCT WHILE YOU ARE IN OUR FACILITY
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WAIVER OF LIABILITY I am applying to practice in The Youth Entrepreneur Camp to be held at the SGU Multi-Purpose Building on June 17th , 18th , and19th. In signing up for this event , I am acting according to my free will, and will act under my own free will during the event. I agree to abide by The Youth Entrepreneur Camp Code of Conduct , and further understand that if I violate any of its provisions I can be immediately dismissed from the facility , after which The Youth Entrepreneur Camp will not have any resposibility for my care or conduct . I hereby release The Youth Entrepreneur Camp and its partners from all liability for any injuries incurred while engaged in activities associated with this event. This waiver extends to the respective organizations , their employees , and affiliated volunteers. |